Clinical Care Guidelines

The guidelines office is closing its doors and will no longer be developing or updating the guidelines. Below are resources and information if departments or individuals would like to update or develop their own guidelines. Please also consult the Author’s Handbook for information.

Welcome to the Clinical Care Guidelines page. These guidelines and the accompanying materials are to assist Michigan Medicine physicians in providing optimal care for patients in a cost-effective manner. The guidelines focus on important clinical decisions and actions in the context of overall case management. The guidelines are based on empirical evidence, other evidence-based guidelines prepared by nationally recognized groups, and expert consensus about practical considerations in providing care. Begin by selecting an Ambulatory or an Inpatient Guideline topic from the list below.

This site maintains the current version of the guidelines. To access a previous version or one of the retired guidelines, please contact [email protected]

Ambulatory Care

 

Asthma

    1. Asthma Guideline
    2. Patient Education Materials
    3. Cover Memo/Key Points:
  • MQIC Guideline:
    1. Other Tools for Clinicians:

    Hypertension

    Chronic Non-Terminal Pain, Managing Patients with

    1. Pain Guideline
    2. Patient Education Materials:
  • Cover Memo/Key Points:

    • Urinary Tract Infection

    1. Urinary Tract Infection Guideline
    2. Patient Education Materials
    3. Cover Memo/Key Points:

    Inpatient Care

    Adult Inpatient Bladder Instillation

    Alcohol Withdrawal in Hospitalized Patients

    1. Alcohol Withdrawal in Hospitalized Patients 
    2. Cover Memo/Key Points:
    • Alcohol Withdrawal in Hospitalized Patients -- Cover Memo
    • Note: There are Michart order sets that corresponds to this guideline. They can be accessed in MiChart by typing “Gen Alcohol Withdrawal Syndrome- Mild/Mod”, “Gen Alcohol Withdrawal Syndrome/Adjunctive Therapy”, and “Gen Alcohol Withdrawal Syndrome/Severe” in the order set search box.

    Atrial Fibrillation and Atrial Flutter

    1. Management of Acute Atrial Fibrillation and Atrial Flutter in Non-Pregnant Hospitalized Adults
    2. Cover Memo/Key Points:
  • Order Set.
    • There is now an evidence-based order set for atrial fibrillation available in MiChart. This order set supports the recommendations made in the UM Medical Group Guideline on “Management of Acute Atrial Fibrillation and Atrial Flutter in Non-Pregnant Hospitalized Adults”. This order set contains decision-support to facilitate optimal care for patients with atrial fibrillation. It can be accessed in MiChart by typing “atrial” in the order set search box.

    • COPD - Inpatient Management of Acute Exacerbations

    1. Guideline:
    1. VTE-Cover-Memo
    2. Information on the COPD Transitions Clinic
    3. Also see the Ambulatory guideline on "Chronic Obstructive Pulmonary Disease (COPD)"
      • Note: There are Michart order sets that corresponds to this guideline. They can be accessed in MiChart by typing “Gen COPD Exacerbation” in the order set search box.

    Cirrhosis (Alternative format guidance)

    1. Cirrhosis (alternative format guideline)
      • Note:There are Michart order sets that corresponds to this guideline. They can be accessed in MiChart by typing “Hepatic encephalopathy”, and “Treatment of Spontaneous Bacterial Peritonitis” in the order set search box.

    Cholecystitis, choledocholithiasis, and other gallstone-related diseases

    1. Evaluation and Management of Gallstone-Related Diseases in Non-Pregnant Adults
    2. Cover Memo/Key Points:
    • Note: There are Michart order sets that corresponds to this guideline. They can be accessed in MiChart by typing “cholecystitis” or “cholangitis” in the order set search box.

    Diuretic Guideline for Patients with Acute Decompensated Heart Failure

    Family-Centered Rounds

    Neonatal Hyperbilirubinemia

      1. Guideline
  • Cover Memo/Key Points:
  • Methodological Appendix

      • Note: There are Michart order sets that corresponds to this guideline. They can be accessed in MiChart by typing “Neonatal Hyperbilirubinemia” in the order set search box.

    Sepsis Early Recognition and Initial Management in Adult Patients

     

    For questions or suggestions regarding the guidelines, please contact: Ellen Patrick for Ambulatory Guidelines.

    The guidelines office is closing its doors and will no longer be developing or updating the guidelines. Below are resources and information if departments or individuals would like to update or develop their own guidelines. Please also consult the Author’s Handbook for information.

     Contacts:

    • PolicyStat – Olivia Curl, Natalie Plata. Olivia is very helpful with technical things, and getting the guideline into PS; Natalie is helpful with the politics and procedures of PS, the approval process, and the like.
    • Beth Friedman [email protected] is our conversion specialist.  In order for NLM to accept the guidelines, they need to be converted into XML first. We have a few things to do to package up the guidelines (we need to create a zip file of the materials, code the headings, make a pdf and a “cover sheet” of sorts, and then send that off to Beth’s team). It looks like we paid about $5 per page for them to code our guidelines, and you’ll probably need to set up a contract. The attached zip file is what we sent recently.
    • Ng, Kin (NIH/NLM/NCBI) [C] [email protected]. Kin Ng is my contact at NLM. He will put up a preview on NLM before publishing, and will check back with either Beth or I with his questions prior to publication.

    Here is the process that we go through for endorsements (not all committees are required; Olivia or Natalie can help set up the endorsements in PolicyStat for you).